Genesis Health Care

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

OTA 12220 Issued in FL

Legal business name

GENESIS HEALTH CARE

Practice address

924 Delaney Cir Apt 102
Brandon, FL 33511-1943

Phone

(941) 920-1778

NPI assigned

May 3, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Christen Marie Clark, COTA

Title

Occupational Therapist Assistant

Phone

(941) 920-1778

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399075200000",
    "number": "1952711608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 DELANEY CIR APT 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335111943",
            "telephone_number": "941-920-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 DELANEY CIR APT 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335111943",
            "telephone_number": "941-920-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-03",
        "last_updated": "2014-05-03",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CHRISTEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "941-920-1778",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "OTA 12220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Geiger-Fessahaye, 106S00000X
• Carolyn Jean Gendreau, D.C.
• Lisa Gendron, PT
• Genesis Alf of Brandon, Inc
• Genesis Alf of Tampa Bay, Inc
• Genesis Rehab Services
• Thomas Scott Gennara, P.A.-C.
• Jasen Genninger
• Gentle Foot Care Clinic, PA
• George O Brick MD PA

• Skilled Nursing Facility in Brandon, FL
• Providers in Brandon, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.